Individual
MR. CRAIG ALAN VANOTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3909 STEVENSON BLVD STE D, FREMONT, CA 94538-2301
(510) 249-9037
(510) 249-9659
Mailing address
PO BOX 87, SOULSBYVILLE, CA 95372-0087
(209) 694-0223
(510) 249-9659
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
18678
CA
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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